Individual provider Active NPI

Ellen Foshag, LSCSW

  • Clinical Social Worker
  • Pittsburg, KS
National Provider Identifier
1417921909
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1651 Issued in KS
Practice address
911 East Centennial
Pittsburg, KS 66762-6601
Phone
(620) 231-5130
Fax
(620) 235-7101
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1651 KS Primary

Addresses

Primary practice location

911 East Centennial
Pittsburg, KS 66762-6601

Mailing address

911 East Centennial
Pittsburg, KS 66762-6601
Phone (620) 231-5130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health Center of Crawford County PastSince Jan 1, 1990 Accepting new patients
Community Mental Health Center of Crawford County PastSince Jan 1, 1990 Accepting new patients
Addiction Treatment Center of Southeast Kansas PastSince Jan 1, 1990 Accepting new patients
County of Crawford PastSince Jan 1, 1990 Accepting new patients
County of Crawford PastSince Jan 1, 1990 Accepting new patients
Renewal House PastSince Jan 1, 1990 Accepting new patients
Coummunity Mental Health Center of Crawford County PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1417921909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 EAST CENTENNIAL",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626601",
            "telephone_number": "620-231-5130",
            "fax_number": "620-235-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 EAST CENTENNIAL",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626601",
            "telephone_number": "620-231-5130",
            "fax_number": "620-235-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSHAG",
        "first_name": "ELLEN",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "1651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.